Brookwood-Sago Mine Safety and State Assistance Grants

DOL Generic Solution for Solicitations for Grant Applications

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0086 can be found here:

Documents and Forms

Document Name Document Type
State SGA for FY 2013.doc www.grants.gov Instruction
Brookwood Sago SGA Justification PRA (20130427).doc Brookwood-Sago Mine Safety and State Assistance Grants Justification IC Document

Information Collection (IC) Details

IC Title:	Brookwood-Sago Mine Safety and State Assistance Grants	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			State SGA for FY 2013.doc	www.grants.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	343	343
Annual IC Time Burden (Hours)	1,670	1,670
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Brookwood-Sago Mine Safety and State Assistance Grants Justification	Brookwood Sago SGA Justification PRA (20130427).doc	07/30/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.